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2015 | 86 | 3 | 126-131
Tytuł artykułu

Vulnerable Elderly Survey 13 as a Screening Method for Frailty in Polish Elderly Surgical Patient - Prospective Study

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The Vulnerable Elders Survey (VES-13) is a simple function based frailty screening tool that can be also administered by the nonclinical personnel within 5 minutes and has been validated in the out- and in patient clinic and acute medical care settings. The aim of the study was to validate theaccuracy of the VES-13 screening method for predicting the frailty syndrome based on a CGA in polish surgical patients. Material and methods. We included prospectively 106 consecutive patients ≥65, that qualify for abdominal surgery (both due to oncological and benign reasons), at the tertiary referral hospital.We evaluated the diagnostic performance of VES-13 score comparing to the results from the CGA, accepted as the gold standard for identifying at risk frail elderly patients. Results. The prevalence of frailty as diagnosed by CGA was 59.4%. There was significantly higher number of frail patients in the oncological group (78% vs. 31%; p<0.01). According to the frailty screening methods, the frailty prevalence was 45.3%. The VES-13 score had a 60% sensitivity and 78% specificity in detecting frailty syndrome. The positive and negative predictive value was 81% and 57%, respectively. The overall predictive capacity was intermediate (AUC=0.69) Conclusions. At present, the VES-13 screening tool for older patients cannot replace the comprehensive geriatric assessment; this is due to the insufficient discriminative power to select patients for further assessment. It might be helpful in a busy clinical practice and in facilities that do not have trained personal for geriatric assessment.
Wydawca

Rocznik
Tom
86
Numer
3
Strony
126-131
Opis fizyczny
Daty
wydano
2014-03-01
otrzymano
2014-02-24
online
2014-04-25
Twórcy
autor
  • 3rd Department of General Surgery, Jagiellonian Univeristy Medical College in Cracow Kierownik, jkenig@cm-uj.krakow.pl
  • 3rd Department of General Surgery, Jagiellonian Univeristy Medical College in Cracow Kierownik
  • 3rd Department of General Surgery, Jagiellonian Univeristy Medical College in Cracow Kierownik
  • 3rd Department of General Surgery, Jagiellonian Univeristy Medical College in Cracow Kierownik
Bibliografia
  • 1. Rocznik Statystyczny. Główny Urząd Statystyczny, Warszawa 2008.
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  • 4. Ellis G, Whitehead MA , O’Neill D et al.: Comprehensive geriatric assessment for older adults ad mitted to hospital. Cochrane Database Syst Rev 2011; 7: CD006211.[WoS]
  • 5. Saliba S, Elliott M, Rubenstein LA et al.: The Vulnerable Elders Survey (VES-13): A Tool for Identifying Vulnerable Elders in the Community. JA GS 2001; 49: 1691-99.
  • 6. Min LC , Elliott MN , Wenger NS et al.: Higher vulnerable elders survey scores predict death and functional decline in vulnerable older people. J Am Geriatr Soc 2006; 54: 507-11.[PubMed][Crossref]
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  • 8. Arora VM, Fish M, Basu A et al.: Relationship between quality of care of hospitalized vulnerable elders and postdischarge mortality. J Am Geriatr Soc 2010; 58: 1642-48.[PubMed][Crossref][WoS]
  • 9. Katz S, Akpom CA : A measure of primary sociological function. Int J Health Serv 1976; 6: 493-507.[Crossref]
  • 10. Lawton MP, Brody EM: Assessment of older people: self- maintaining and instrumental activities of daily living. Gerontologist 1969; 9: 179-86.[Crossref][PubMed]
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  • 12. Watson YI , Arfken CL , Birge SL : Clock completion: an objective screening test for dementia. J Am Geriatr Soc 1993; 41: 1235-40.[PubMed]
  • 13. Charlson ME, Pompei P, Ales KL , MacKenzie CR: A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987; 40: 373-83.
  • 14. Brink TL , Yesavage JA , Lum O et al.: Screening test for geriatric depression. Clin Gerontol 1982; 1: 37-44.[Crossref]
  • 15. Podsiadlo D, Richardson S: The Timed Up & Go: A test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991; 39: 142-48.
  • 16. Guigoz Y et al.: Mini Nutritional Assessment: a practical assessment tool or grading the nutr6- tional state of elderly patients. Facts and Research in Gerontology 1994; 2: 15-59.
  • 17. Extermann M, Aapro M, Bernabei R et al.: Use of comprehensive geriatric assessment in older cancer patients: Recommendations from the task force on CGA of the International Society of Geriatric Oncology (SIOG). Critical Reviews in Oncology/ Hematology 2005; 55: 241-52.
  • 18. Hanley JA , Hajin-Tilaki KO : Sampling variability of nonparametric esitmates of the areas under receiver operating characteristics curves: an update. Academic Radiology 1997; 4: 49-58.[PubMed][Crossref]
  • 19. Hanley JA , McNeil BJ: The Meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 1982; 143: 29-36.
  • 20. Hamaker ME, Jonker JM , de Rooij SE et al.: Frailty screening methods for predicting outcome of a comprehensive geriatric assessment in elderly patients with cancer: a systematic review. Lancet Oncol 2012; 13: 37-44.[WoS]
  • 21. Rojas V, Pedro Pablo M, Herrera ME et al.: Are the diagnostic tools of ECOG, VES-13 and scales of frailty of Balducci and Rockwood useful to investigate the vulnerability in the older people with cancer? J Geriatric Oncology 2013; 4(1): 85-86[Crossref]
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Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_pjs-2014-0024
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